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Mental Health Outcomes Among Transgender & Gender Diverse Survivors of Violence: A Literature Review
No full textThis thesis is a literature review of current articles and data available on mental health outcomes among transgender and gender-diverse (TGD) survivors of victimization. The objective of this research is to critically examine and synthesize the literature describing the relationship between victimization and mental health outcomes among TGD people. This literature review includes data from sixteen articles gathered through The Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PubMed (MEDLINE) and utilized search terms related to TGD people, mental health, and violence. This research focuses on four key types of mental health outcomes: depressive symptoms, post traumatic stress disorder (PTSD) symptoms, self-injurious thoughts, and self-injurious behaviors. The research shows that high rates of minority stressors including gender-based victimization and discrimination can negatively impact TGD people’s mental health outcomes. The objectives of the research are met and this thesis provides an overview of what is in the current literature for mental health outcomes among the TGD violence survivors population
Mate Preferences in Intelligence, Economic Success, and Sociosexual Orientation Scores
No full textPrevious research regarding mate preferences in heterosexual women has been vast, but has been exceptionally limited in the fact that it has not investigated the interactions between the value placed on specific traits in a partner and the value an individual places on their own traits. Therefore, there is a need for research amongst the interactions between mate preferences and characteristics that make up one’s own mate value to further understand why heterosexual individuals select certain mates. Exploring the preferences for mate value traits based on the value placed on one’s own trait is crucial to determine driving factors when selecting a mate. Evolved psychological mate preferences among heterosexual women have determined that preferences for intelligence and economic success are adaptive in long-term mate selection. Their preference for intelligence serves to select a mate whose traits will improve their offspring’s genetic quality, but if an individual values their own intelligence, how does this interact with their preference for an intelligent mate? Similarly, if one values their own economic stability, do they prefer a mate who is economically successful? Finally, how do these traits interact with one’s sociosexual orientation? Can the amount of value an individual places on a certain trait be used to predict their SOI score? In order to determine if these predictions are applicable to heterosexual women, preferences for intelligence and economic success were investigated and compared with SOI scores. The current study consisted of 79 heterosexual female participants from DeLecce et al. Archives of Sexual Behavior, 43, 319–327, 2014. All 79 women completed the Sociosexual Orientation Inventory (SOI). The current study seeks to investigate if the amount of value an individual places on a trait in a potential mate can give indication to their SOI score and in turn their mating strategy. It is expected that females who place higher value on intelligence and economic success in a potential mate will have lower SOI scores and therefore are more likely to seek long-term partners. The data will also be analyzed to assess their preferences according to the value they place on their own intelligence and economic stability to determine if the value they place on mate preferences seeks to fill a need, such as good genes or resources to aid in their reproductive success
Oakland University Commencement Program, Spring 2023
No full textOakland University Spring Commencement Progra
Best Practice Analgesic Management for Minimally Invasive Gynecologic Procedures at Corewell Health East - Royal Oak
No full textBackground: Non-opioid analgesics and analgesic adjuncts have been used successfully in a variety of surgical procedures, including minimally invasive gynecologic procedures that elicit pain via uterine muscle cramps. Non-steroidal anti-inflammatory drugs (NSAIDs) are considered the gold standard in the treatment of pain caused by uterine cramping. Additionally, research shows analgesic benefits of IV magnesium sulfate and acetaminophen.
Purpose: The purpose of this DNP project was to evaluate the current analgesic practice of perioperative opioid administration for minimally invasive gynecological procedures at Corewell Health East - Royal Oak. Additionally, an examination of whether opioid administration or non-opioid analgesia is considered evidence-based best practice for minimally invasive gynecological procedures.
Methods: Data on analgesic medication administration during hysteroscopy and/or dilation and curettage procedures was collected through a retrospective electronic medical record review of 59 patients. Data pertaining to patient age, type of surgical procedure, timing of analgesic medication administration and dosages were considered.
Results: Findings demonstrate that the average dose of fentanyl administered was 45.34 micrograms. There is no statistically significant difference in opioid administration between different phases of anesthesia, dosage of fentanyl between different age groups, or between procedures.
Conclusion: Current literature advocates for minimizing opioid administration, while supporting effectiveness of non-opioid analgesics, such as NSAIDs, magnesium sulfate and acetaminophen for the treatment of mild to moderate pain caused by uterine cramping following minimally invasive gynecological procedures
Local Anesthetic Systemic Toxicity Education through a Web-based Module
No full textLocal anesthetic systemic toxicity (LAST) is a rare, but life-threatening event resulting from an inadvertent vascular injection or absorption of a toxic dose of a local anesthetic that can lead to respiratory arrest and cardiovascular collapse. A wide variation of published LAST incidences exist related to underreporting and misdiagnosing of LAST signs and symptoms by hospital staff. This may indicate decreased awareness of LAST among healthcare providers. As a result of the continued occurrence of LAST, education is needed to prepare staff to recognize and treat LAST. This educational project aimed to provide Certified Registered Nurse Anesthetists (CRNAs) of Michigan that attended the Michigan Association of Nurse Anesthetists (MANA) Fall Conference with an improved understanding of LAST using a web-based educational module. The module contained education on the identification of signs, symptoms, and treatment of LAST, including modifications to the ACLS algorithm during the treatment of a LAST-related cardiac arrest. The results of this project indicated that a web-based educational module is an effective tool for educating CRNAs on LAST management. A statistically significant increase was found from pre-module survey scores to post-module survey scores in CRNAs’ self-efficacy in treating a LAST event (z=-4.21, p<.05). There was also a statistically significant increase from pre-module survey scores to post-module survey scores in CRNAs’ knowledge in LAST management (z =-4.2, p <.001)
The Impact of Socioeconomic Status on Accurate Pain Reporting in Diabetic Patients
No full textThe use of the Numerical Pain Scale (NPS) to know pain levels in minority patients and patients of lower socioeconomic status can make it difficult for them to differentiate their physical pain from other social issues in their life. Implementing the use of postural sway assessment to receive accurate pain levels can possibly be a way to eliminate underreporting of pain from patients. Previous research studies have shown that if patients had a higher level of postural sway that would correlate to a higher pain level and if patients had a lower level of postural sway that would correlate to lower pain levels (Hirata et al., 2021). This research will compare diabetic patient self-reported pain using the NPS to the level of pain observed during postural sway assessment using limits of stability and modified clinical test of sensory integration in balance protocols from the BTrackS force plate and software. From the data that is collected, it can suggest a way for healthcare providers to use the BTrackS balance assessment to receive new information about accurate pain levels. This may help improve diagnosis and treatment speed, leading to an improvement in the quality of life in people dealing with diabetes. This is especially relevant for patients in underserved communities who may under report pain levels at greater rates. Using physical examinations to determine pain gives a more accurate depiction of the pain level patients are experiencing